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COM2017-00035 Final Cell Tower - COM Permit / Conditions - 12/27/2017
> 0 ................. � K CONCRETE MECHANICAL MANUFACTURED HOME 90 C=) Date By Ribboris Footing&/Setbacks Gas Piping CD Interim Date By Interior-Date By Date By C) C) Bv w Exteror Dale By Exterior-Date Sept_ Point Load I Isolated Footings INSULATION Date By BG I SLAB INSULATION Date By Date By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By - DECKS FRAMING Walls Date By Date By Data By - PROPANE TANKS PLUMBING Vault Date By Date By OTHER Oroundvmrk Attic Date Date By Type: By Dale By DWV DRYWALL Type, 0 Int Brace Wall Date By 0 Date. By 3Da By FINAL INSPECTION Q Vbter Line Fire Seperation -h Date By Data /Z- z-7- By -4 Date By 6 O Pass or Request Inspect. Type of Insp. Fail Date Date Done By Comments C,C, 9.2-7-/-1 /0 13!-/-7 4 2,Z- /7-7-7-1 J?L- sv CD U1 0 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 �0g Cab T� Phone: (360)427-9670,ext. 352 i Mason County § 615 W Alder St Shelton, WA 98584 IR39 COMMERCIAL BUILDING PERMIT COM2017-00035 OWNER: AT&T RECEIVED: 4/5/2017 CONTRACTOR: LICENSE: EXP: ISSUED: 8/16/2017 SITE ADDRESS: 600 E VICTOR RD BELFAIR EXPIRES: 2/16/2018 PARCEL NUMBER: 122214200000 LEGAL DESCRIPTION: NW SE k PROJECT DESCRIPTION: DIRECTIONS TO SITE: A NEW CELL TOWER, EQUIPTMENT BUILDING, FROM SHELTON: SR3 N FOR 18.3 MILES, BEAR RIGHT(N) ON E NORTH GENERATOR AND FENCE. REMOVAL OF SOME TREES TO BAY RD FOR 2 MILES, BEAR RIGHT(SE)ONTO SR302 FOR 2.2 MILES, AND IN BUILDING SITE LOCATION. OL0719 North Bay TURN LEFT(E) ON TO NE VICTOR RD FOR APPROX 3/4 MILES ON RIGHT General Information Construction&Occupancy Information Type of Use: CELL TOWER Insp.Area: No. of Units: Type of Constr.: Type of Work: NEW Fire Dist.: 2 No. of Bathrooms: Occ. Group: U Valuation: $ 120,000.00 No.of Stories: Exit Design. Load: Building Height: 90 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: N 90.00 Ft. Shoreline: Ft. Rear: S 100.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: E 90.00 Ft. SEPA?:Yes Comp. Plan Desig.: Rural Side 2: W 100.00 Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2017-00035 Please refer to the following pages for conditions of this permit. Page 1 of 5 C C C C Q r r r r (D U') m ++ L cN cN Cl. N N N a) U p N 11 C C � (a E Q :3 a c d w coN N � a- a. �. v � +. C E Q � � a)C ( N Q a) +. Q fa +�+ (a 0 3 O O U)U) L U) a r r r r r }o 70 ca O C- U U N c c n n F > % O 0 El 2! 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Date: 9/26/2017 Supplier: Miles Air Temperature: 67 F Material Data: Concrete Concrete Temperature: 72 F ASTM C 1064 Plant Number: 223 Air Content: % ASTM C 231 Mix Number. 01650 Slump: 4 112 " ASTM C 143 Truck Number: HR27 Time Sampled: 11:35:00 AM Ticket Number: 119087 Added Water: 0 "hom: Number of Samples: 7 Air Entrainment(ozlyard): Yards placed: 22/28 Admixtures(oz/yard)) Design Strength: 4500 inspection Performed: Reinforced Concrete Location: Northeast comer of parcel#12221-42-00000-footing Grid Lines: Remarks: Rested is in structural design report,page 2(engineer stamped).Resteel is in conformance per resteel schedule. (22)#7 verticals with hooks at bottom of with#5 ties;2 within top 5"and then 12"on center.Pads(18)#8 horizontal each way,top and bottom.City also signed off on resteel on 9-22-2017.Concrete was placed by pump at above location and mechanically consolidated. rkl Conforming to approved plans Inspector: Glass,Shawn 2nd Inspector: 3rd Inspector: Samples Tested in Accordance with ASTM: C 1231 C 31 C 172 C 39 Sample ID Test Date Age Size Area Set# Total Load PSI Method Fracture Type 1712827 10/3/2017 7 4 X 8 12,56 111 59970 4770 C 1231 Shear 1712828 10/24/2017 28 4 X 8 12.56 111 82580 6570 C 1231 Cone 1712829 10/24/2017 28 4 X 8 12.56 1/1 79720 6350 C 1231 Cone 1712830 10/24/2017 28 4 X 8 12.56 1/1 75860 6040 C 1231 Cone Distributi0n: ]Client Contractor Owner Date Mailed: Municipality Engineer Architect Tested By: Chris London LJ Distribute Other Reviewed: Mike Blackwell All tests in accordance with the requirements of ASTM C 31 for casting and curing concrete specimens in the field.All reports are considered confidential and are the property of the client and A.A.R.Testing Laboratory,Inc. Reproduction except in full,without the written consent of A.A.R.Testing Laboratory is strictly forbidden. I Ccivil&structural ENGINEERING engineering&planning I STRUCTURAL OBSERVATION REPORT Project: OL0719 North Bay Purpose: Structural Observation Location:480 East Victor Road Belfair,WA 98528 Date: December 13`h,2017 CG Project: 17017.105 Report: 1 Client:Camp&Associates General Contractor:Wren Construction,Inc. Structural Observer: Nick Lungstrom,EIT CG Engineering was provided with photos from a site observation of AT&T site OL0719 North Bay performed by Wren Construction on December 6th,2017 to verify that the newly installed appurtenances and platform were in conformance with the approved construction drawings dated June 9th,2017. The following items summarize our observations: 1. The proposed appurtenances were installed per the approved construction drawings. 2. The proposed Site Pro platform was observed by Wren Construction,Inc.on 12/06/17 and found to be installed correctly. Attachments: Photos(pp.2-4) Contractor redlines to architectural plans dated 06/09/2017 SUS' RAC jQVAL 1211312017 DISCLAIMER This observation is the professional opinion of CG Engineering PLLC based on the information available during this assessment or evaluation.This report does not warrantor guarantee that all conditions were discovered at the time of the observation.This report was prepared subject to the standard of care applicable to professional services at the time the services were provided. 250 4th Avenue South,Suite 200 Edmonds,WA98020 ph.425.778.8500 1 f.425.778.5536 www.cgengineering.com i i i OL0719 North Bay December 13`h,2017 CG Project No.17015.105 Page 2 of 4 SITE LOCATION Photo 1—Site Location _ 250 4th Avenue South,Suite 200 Edmonds,WA 98020 ENGINEE0RIIVG ph.425.778.8500 ( f.425.778.5536 www.cgengineering.com I I OL0719 North Bay December 13`h,2017 CG Project No.17015.105 Page 3 of 4 t tlry M Photo 2—Proposed Antennas and RRU's(One Sector) ,- .% Photo 3—Proposed SQUID(OVP) 250 4th Avenue South,Suite 200 C C_ Edmonds,WA 98020 ENGINEERING ph.425.778.8500 1 f.425.778.5536 www.cgengineering.com OL0719 North Bay December 13`h,2017 CG Project No.17015.105 Page 4 of 4 E ' $ J t A Photo 4—Proposed Site Pro Platform with Appurtenances \w y.t .E' Photo 5—Platform Standoff Connection(Slr Bolts) 250 4th Avenue South,Suite 200 _ Edmonds,WA 98020 ENGINEERING ph.425.778.8500 ( f.425.778.5536 www.cgengineering.com U, UJ F- UJ ut -12 0 X 0� ƒ\§ 0 F- > z w lh-�hr I'a H w CL < | ) /// §\ i, ] \ �� � Lu < U) LD z ia I . z ; | \ ; §) 'o% LU na-. 51 co 2z z F- F- 1. 2 w z LU z z. 0 E, EN KE 8 ri r,�. 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Alder Street NATIONALLY ACCEPTED LABORATORY Shelton WA 98584 Project: North Bay Address: 600 E. Victor Road Permit: COM 2017-00035 This is to advise you that all special inspection is completed on the above referenced project. The following inspections were required and a copy of our inspection report is attached. 1. Proprietary anchor installation 2. Bolting installation To the best of our knowledge all work inspected conformed to Mason County Building Department approved plans, specifications, IBC and related codes and/or verbal or written instructions from the Engineer of Record. Sincerely, A.A.R. TESTING LABORATORY, INC. Kimberle Anderson President CC: Wren Construction — Dan Hagy Tel: (425) 881-5812 Fax (425) 881-5441 •7126 180th Ave. NE• P.O. Box 2523 • Redmond, WA 98073 1 Field Report Report#: 69602 Client: Wren Construction Project Number: 17-637 1410 80th St.S.W.Suite A Permit#: COM 2017-00035 Everett,WA 98203 Project Name: North Bay Contact: Dan Hagy Address: 600 E.Victor Road Inspection Performed: See below Date: 1 0/2 712 0 1 7 Time: Temperature: Verified installation of Hilti KBTZ SS anchors 1/2"x 7"and 3/4"x 7"torqued to 40 and 110 fUlbs for generator and shelter building,g, installed per ESR 1917. Also verified torqueing of 2-1/2"diameter galvanized bolts on monopole base.Also verified A325N bolts on crows nest. All bolting and hardware per ATT drawings. Distribution: Distribute Client ❑ Distribute Contractor ❑ Distribute Engineer ❑ Distribute Owner Inspector: Trow,Michael ❑ Distribute Municipality❑ Distribute Other Reviewed by: Michele Guerrini ❑ Distribute Architect ❑ Distribute Other All reports are considered confidential and are the property of the client and A.A.R.Testing Laboratory,Inc. Reproduction except in full without the written consent of A.A.R.Testing is strictly forbidden �On � , Mason County Community Services Building Division SPECIAL INSPECTION & 615 W Alder Street Shelton, WA 98584 TESTING AGREEMENT 360.427.9670 ext. 352 www.co.mason.wa.us ---------------- _(4MA&MMs are per the 2015 International Building Code) Project Name: Project Address: Building Permit Number: Date issued: WORE A PERMIT aCAN-BE ISSU : The registered Design Professional in responsible charge shall fill out the Agreement and include the name and address of the company or inspector. Two (2)copies of this form are to be submitted to the County prior to the issuance of a building permit. If changes are made as to who will perform the special inspections a new form shall be submitted and turned into the Building Permits&Inspections Division for approval. STATEMENT OF SPECIAL INSPECTIONS, In addition to this Agreement, a "Statement of Special Inspections" shall be provided per IBC 1704.3. This Statement shall be made as part of the approved plans, and be placed in a conspicuous location,such as the first page of the construction plans or the first page of the structural sheets. SPECIAL INSPECTORS: All special Inspectors shall be approved by the Building Division prior to performing any duties. The special inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the State of Washington. SPECIAL INSPECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2-4. Copies of each report are to be sent to the address listed In the letterhead noting the Project Address and Permit Number. A final report shall be submitted stating that all special Inspection and structural testing items were completed and are In conformance with the approved design drawings and specifications. Items not in conformance,unresolved Items,or any discrepancies in Inspection coverage(i.e.missing Inspections,periodic inspections when continuous was required,etc.)shall be specifically itemized in the final report. Areas requiring special inspection. Name of Agency: Address&Contact Information 0 Unapproved Fabricators(113C 1704.2.5) Other than Structural Steel(IBC Table 1705.2.2) 0 Steel floor&roof decks ———-- lcft of rek ---------------------- -- -------------- —------------------------ ----------- ---------------------- - -------- _We - ------ 11 Cold-formed steel Structural Steel ldlmeraAr4 "WM04 0 Welding(Per NSA of AISC 360-10) AAC-TESTI" 425*at Selz. 0 Details(Per NS.7 of AISC 360-10) Po eq ZS-Z3 High-strength bolts(Per N5.6 of AISC 360-10) Concrete Construction(per 19C Table 1705.3) 42S7 eat 6617- l Reinforcement,embeds,anchors 1140- V;,&V-+1eShV1-i-CA"'1 Formwork e El Materials Po 150)( ZV2-5 0 Shotcrete 11 Post-tensioned/Pre-stressed concrete 0 Erection of precast concrete Page 1 of 3 Mason County Community Services Building Division SPECIAL INSPECTION & 615 W Alder Street Shelton, WA 98584 TESTING AGREEMENT 360.42Z9670 ext. 352 www.co,mosoMwa.us Areas requiring special inspection: Name of Agency: Address&Contact information Masonry Construction(IBC 1705.4) ❑ Prior to Construction(Article 1.15,TMS-602) ❑As Construction Begins(Article 1.19.2,TMS-402) ❑Prior to Grouting(Table 1.19.2,TMS-402) ❑ During Construction(Per TMS-402&TMS-602) Wood Construction ❑ High-Load Diaphragms(IBC 1705.5.1) ❑ Wood Trusses>60ft(IBC 1705.5.2) ❑ Solis(IBC Table 1705.6) ❑ Driven Deep Foundations(IBC Table 1705.7) ❑ Cast-in-place Deep Foundations(IBCTabie 1705.8) ❑ Helical Pile Foundations(IBC 1705.9) ❑ Sprayed Fire-Resistant Materials(IBC 170S.13) 0 Mastic&Intumescent Coatings(IBC 1705.14) ❑ EIFS(IBC 1705.15) ❑ Fire-Resistant Penetrations(113C 1705.16) I j ❑ Smoke Control(IBC 1705.17) +�� r Structural Steel(IBC 1705.12.1&AISC 341-10) ;A 429 AIM 6$1Z too fBoX ZS'�3 _2 ❑ Structural Wood(18C 1705.12.2) Page 2 of 3 Masan County Community Services Building Division SPECIAL INSPECTION & 615 WAIder Street Shelton, WA 98584 TESTING AGREEMENT 360.42Z967D ext.352 www.co,moson,wa.us ❑ Cold-formed Steel(IBC 1705.12.3) ❑ Mechanical&Electrical Components(1705.12.4) ❑ Architectural components(IBC 1705.12.5) ❑ Storage Racks(I8C 1705.12.7) M other (18C 1705.1.1 K75 ass G p,c sal ) �1,AR"-c�.sfl� as eati seiz POST-INSTALLED ANCHORS IN HARDENED CONCRETE PO 60" s--43 U., �"��.� iN'ia. (sa eox zsz� Reaadufl Structural Observations Observations AAR Testing Kimberly Anderson Laboratory Inc As above Declaration by Architect/Engineer 1, the design professional in responsible charge for this project, declare that the above listed special inspection and structural testing items are required for this project in accordance with IBC Chapter, ]. 6120/2017 Signature __ Date Declaration by Owner 1,the Owner of the project,declare that the above listed firm(s)or Individual(s)are hired by me to perform special inspections and structural testing for the project pursuant to IBC 1704.2. -- — — — _ ---- __--_----—----------- -- — — 1 �t I Signature Date CONTRACTOR RESPONSIBILITY: Each contractor involved with the construction of wind or seismic force-resisting systems shall comply with the requirements of IBC 1704.4. The contractor is responsible for providing the special inspector access to approved plans and contract documents at the job site. All special inspection records shall be retained at the job site by the contractor and shall be made available to the Building Department upon request. Declaration by General Contractor I, the General Contractor of the project, agree to comply with the "Contractor Responsibility" items noted above. Signature Date Page 3 of 3 i i